| 摘要: |
| 目的 了解基层卫生应急人员对突发公共卫生事件风险沟通的认知现状,为提高基层卫生应急人员风险沟通的认识和能力提供依据。方法 采用问卷调查的方法,对重庆市19个样本区县承担突发事件应急处置的基层卫生应急人员进行调查,采用描述性分析和χ2检验对调查数据进行分析。结果 共计调查了429名基层卫生应急人员。4.7%(20/429)的应急人员对风险沟通概念的熟悉度为"听说过、很熟悉",且不同年龄、职称、参与风险沟通培训情况、参与风险沟通工作情况应急人员之间的认知存在一定差异(P<0.05);风险沟通知识核心信息全部知晓率仅为0.5%(2/429);24.9%(107/429)的应急人员表示非常愿意承担风险沟通工作;分别有超过60.0%的应急人员认为现阶段影响基层风险沟通开展最主要的因素是风险监测信息收集不完全(78.8%,338/429)、没有形成常规的工作机制(68.8%,295/429)、部门间沟通困难(62.7%,269/429)、缺乏风险沟通的技术方案(指南)或缺乏可操作性(60.8%,261/429)。结论 基层卫生应急人员对突发公共卫生事件风险沟通的认知水平相对较低,专业队伍缺乏风险沟通相关知识,风险沟通工作意愿普遍不高,不能满足基层卫生应急工作需要。应采取多种有效方式,加大风险沟通培训力度,造就一支能适应基层卫生应急工作需要的队伍。 |
| 关键词: 基层卫生应急人员 风险沟通 公共卫生 认知 |
| DOI：10.16781/j.0258-879x.2016.05.0576 |
| 投稿时间：2015-09-17修订日期：2015-12-15 |
| 基金项目:世界卫生组织西部卫生行动项目(WPCHN1409378). |
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| Cognitive status of public health emergency risk communication among grass-root health emergency staffs in Chongqing |
| TANG Lu1,ZHANG Yan1*,XING Dian-guo2,SUN Jun3,TIAN Kao-cong1* |
(1. School of Public Health and Management, Center for Research of Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China;
2. Chongqing Municipal Health and Family Planning Commission, Chongqing 401147, China;
3. Chongqing Centers for Disease Control and Prevention, Chongqing 400042, China
*Corresponding authors) |
| Abstract: |
| Objective To understand the cognitive status of public health emergency risk communication among grass-root health emergency staffs, so as to provide help to improve their understanding and ability for risk communication. Methods Questionnaire was designed and used to survey the emergency staffs from 19 counties in Chongqing. Descriptive analysis and Chi-square test were used for analysis. Results A total of 429 grass-root health emergency staffs were surveyed. It was found that 4.7% (20/429) of them characterized their familiarity of risk communication concept as "Heard of, very familiar with it", and the perception differences were statistically significant among participants of different ages, technical titles, training and work experience in public health emergency risk communication (P<0.05). Only 0.5% (2/429) of the participants were aware of all the core information risk communication; 24.9%(107/429) of the participants said they were willing to assume the risk communication task very much. The participants thought that the main reasons affecting public health emergency risk communication included: collection of the monitoring risk information was not complete (78.8%, 338/429), there was no established working mechanism (68.8%, 295/429), communication between departments was difficult (62.7%, 269/429), and there was a lack of technical proposal for risk communication (60.8%, 261/429). Conclusion The cognitive level of public health emergency risk communication among grass-root health emergency staffs is at a relatively low level. The emergency staffs have a poor knowledge about risk communication and less willingness to the work, and they are not competent for health emergency work. More efforts should be made to train the emergency staffs to meet the requirement of public health emergency work. |
| Key words: grass-root emergency staffs risk communication public health cognition |
